Individual
BYRON T ALEX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 444-0570
(401) 444-0427
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD15915
RI
2083P0901X
Public Health & General Preventive Medicine Physician
15915
RI
Other
Enumeration date
06/14/2011
Last updated
12/13/2017
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